Elise Mariam Sage, PNP in East Hartford, CT - Medicare Nurse Practitioner

Elise Mariam Sage, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in East Hartford, Connecticut. Her current practice location is 869 Forbes St, East Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 622-5343.

Elise Mariam Sage is licensed to practice in Connecticut (license number 12.005079) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598048878.

Contact Information

	Elise Mariam Sage, PNP
	869 Forbes St, East Hartford, CT 06118-1958
	(860) 622-5343
	Not Available

Map and Direction

Provider's Profile

Full Name	Elise Mariam Sage
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	869 Forbes St, East Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598048878
Provider Enumeration Date: 09/23/2011
Last Update Date: 07/30/2015

Medicare PECOS Information:

PECOS PAC ID: 4486962396
Enrollment ID: I20150925002059

Medical Identifiers

Medical identifiers for Elise Mariam Sage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598048878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	2268080 (Massachusetts)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	12.005079 (Connecticut)	Primary
163W00000X	Registered Nurse	10.107616 (Connecticut)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	005079 (Connecticut)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elise Mariam Sage allows following entities to bill medicare on her behalf.

Entity Name	Staywell Health Care Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elise Mariam Sage is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elise Mariam Sage, PNP 80 Phoenix Ave 201, Waterbury, CT 06702-1418 Ph: (203) 756-8021	Elise Mariam Sage, PNP 869 Forbes St, East Hartford, CT 06118-1958 Ph: (860) 622-5343

Reviews and Comments

Nurse Practitioner Nurses in East Hartford, CT

Ms. Kristina Maria Deconti, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 893 Main St, East Hartford, CT 06108 Phone: 860-528-4124
Diane Sanchez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 893 Main St, Suite 202, East Hartford, CT 06108 Phone: 860-528-4124 Fax: 860-282-1213
Jazmin Johnson, MSN-ED, APRN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Tolland St, East Hartford, CT 06108 Phone: 203-679-9274 Fax: 860-374-2249
Mileidy Perez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 Brewer St, East Hartford, CT 06118 Phone: 860-281-6717
Luz Esther Valentin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359
Theresa Antwi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 Burnside Ave Apt A4, East Hartford, CT 06108 Phone: 240-408-0736
Ms. Nancy Concepcion, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 Fax: 860-290-4142

Elise Mariam Sage, PNP - Medicare Nurse Practitioner in East Hartford, CT